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In document Memòria de gestió 2013 (página 41-44)

2.5.1

Alcohol Screening

Changes from Version 11.0, as noted.

Own e r/Co n ta c t

Dr. Peter Stuart

Na tio n a l Re p o rtin g

NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)

De n o m in a to r

1. GPRA: Female Active Clinical patients ages 15 to 44 years of age.

2. GPRA Developmental: Active Clinical patients ages 12 to 75, broken down by

age groups: 12–19, 20–24, 25–34, 35–44, 45–54, and 55–75

Nu m e ra to rs

1. GPRA Developmental: Patients screened for alcohol use or had an alcohol-

related diagnosis or procedure during the Report Period.

Note: This numerator does not include alcohol-related patient education.

2. Patients with alcohol-related patient education during the Report Period.

3. GPRA Developmental: Patients who were screened positive for alcohol use.

De fin itio n s

Alcohol Screening

Any of the following during the Report Period:

• PCC Exam Code 35

• Any CAGE Health Factor

• Screening Diagnosis V11.3; V79.1, or BHS problem code 29.1

• CPT 99408, 99409, G0396, G0397, H0049, H0050, 3016F

• V Measurement in PCC or BH of AUDT, AUDC, or CRFT

Alcohol-Related Diagnosis or Procedure

Any of the following during the Report Period:

• Alcohol-related diagnosis:

– POV, current PCC or BHS Problem List 303.*, 305.0*, 291.*, 357.5*; – BHS POV 10, 27, 29;

– BHS Problem Codes 10, 12.1, 14.2, 17.1, 18.1, 20.1, or 22.1

• Alcohol-related procedure (V Procedure) 94.46, 94.53, 94.61-94.63, 94.67- 94.69

Alcohol-Related Patient Education

Any of the following during the Report Period:

• Patient education codes containing "AOD-" or "-AOD", "CD-" or "-CD" (old codes), or V11.3, V79.1, 303.*, 305.0*, 291.* 357.5*, 99408, 99409, G0396, G0397, H0049, H0050, or 3016F

Positive Screen for Alcohol Use

Any of the following for patients with alcohol screening:

• Exam Code 35 Alcohol Screening result of “Positive”

• Health factor of CAGE result of 1/4, 2/4, 3/4 or 4/4

• CPT G0396, G0397, 99408, or 99409; or

• AUDT result of =>8, AUDC result of =>4 for men and =>3 for women, CRFT result of 2-6

P a tie n t Lis t Op tio n s

• List of female Active Clinical patients 15–44 with documented screening.

• List of female Active Clinical patients 15–44 without documented screening.

• List of female Active Clinical patients 15–44 with a positive alcohol screen.

• List of female Active Clinical patients 15–44 with a negative alcohol screen.

• List of Active Clinical patients 12–75 with documented alcohol screening.

• List of Active Clinical patients 12–75 without documented alcohol screening.

• List of Active Clinical patients 12–75 with a positive alcohol screen.

• List of Active Clinical patients 12–75 with a negative alcohol screen.

2.5.2

Intimate Partner (Domestic) Violence Screening

No changes from Version 11.0

Own e r/Co n ta c t

Denise Grenier, LCSW and Dr. Peter Stuart

Na tio n a l Re p o rtin g

NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)

De n o m in a to r

1. GPRA: Female Active Clinical patients ages 15–40.

No m in a to rs

1. GPRA Developmental: Patients with an IPV/DV exam or IPV/DV-related

diagnosis, procedure, or counseling any time during the Report Period.

Note: This numerator does not include IPV/DV-related patient education.

De fin itio n s

IPV/DV Exam

• PCC Exam Code 34; or

• BHS IPV/DV exam

IPV/DV Related Diagnosis

• POV, Current PCC or BHS Problem List 995.80–83, 995.85 (adult maltreatment), V15.41, V15.42, V15.49 (history of abuse)

• BHS POV 43.*, 44.*

IPV/DV Patient Education

• Patient Education codes containing "DV-" or "-DV", 995.80–83, 995.85, V15.41, V15.42, or V15.49

IPV/DV Counseling

• POV V61.11

P a tie n t Lis t Op tio n s

• List of female patients 15–40 with documented IPV/DV screening.

• List of female patients 15–40 without documented IPV/DV screening.

2.5.3

Depression Screening

Changes from Version 11.0, as noted.

Own e r/Co n ta c t

Denise Grenier, LCSW and Drs. David Sprenger and Peter Stuart

Na tio n a l Re p o rtin g

NATIONAL (included in IHS Performance Report; not reported to OMB and Congress)

De n o m in a to r

1. GPRA: Active Clinical patients ages 18 and older.

2. GPRA Developmental: Active Clinical patients ages 12–18.

Nu m e ra to rs

GPRA Developmental: Patients screened for depression or diagnosed with a mood

De fin itio n s

Depression Screening

Any of the following:

• Exam Code 36

• POV V79.0

CPT 1220F

• BHS Problem Code 14.1 (screening for depression)

• V Measurement in PCC or BH of PHQ2 or PHQ9

Mood Disorders

At least two visits in PCC or BHS during the Report period with POV for: Major Depressive Disorder, Dysthymic Disorder, Depressive Disorder NOS, Bipolar I or II Disorder, Cyclothymic Disorder, Bipolar Disorder NOS, Mood Disorder Due to a General Medical Condition, Substance-induced Mood Disorder, or Mood Disorder NOS.

– These POV codes are: 296.*, 291.89, 292.84, 293.83, 300.4, 301.13, or 311; or BHS POV 14 or 15

Suicide Ideation

• POV V62.84; or

• BHS Problem Code 39 during the Report Period

P a tie n t Lis t Op tio n s

• List of Active Clinical patients =>18 screened for depression/diagnosed with mood disorder or suicide ideation.

• List of Active Clinical patients =>18 not screened for depression/diagnosed with mood disorder or suicide ideation.

• List of Active Clinical patients 12–18 screened for depression/diagnosed with mood disorder or suicide ideation.

• List of Active Clinical patients 12–18 not screened for depression/diagnosed with mood disorder or suicide ideation.

In document Memòria de gestió 2013 (página 41-44)

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